Carly Nassereh Ettefagh, MSOT, OTR/L - Occupational Therapist in Fairfax, VA

Carly Nassereh Ettefagh, MSOT, OTR/L is a Occupational Therapist based in Fairfax, Virginia. Carly Nassereh Ettefagh is licensed to practice in Virginia (license number 0119006980) and her current practice location is 8270 Willow Oaks Corporate Dr, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at (401) 835-3265.

NPI number for Carly Nassereh Ettefagh is 1013411966 and her current mailing address is 8270 Willow Oaks Corporate Dr, Fairfax, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013411966.

Contact Information

Carly Nassereh Ettefagh, MSOT, OTR/L
8270 Willow Oaks Corporate Dr,
Fairfax, VA 22031-4511
(401) 835-3265
Not Available



Healthcare Provider's Profile

Full NameCarly Nassereh Ettefagh
GenderFemale
SpecialityOccupational Therapist
Location8270 Willow Oaks Corporate Dr, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013411966
  • Provider Enumeration Date: 03/23/2018
  • Last Update Date: 03/23/2018

Medical Identifiers

Medical identifiers for Carly Nassereh Ettefagh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013411966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 0119006980 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Nassereh Ettefagh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Nassereh Ettefagh, MSOT, OTR/L
8270 Willow Oaks Corporate Dr,
Fairfax, VA 22031-4511

Ph: (401) 835-3265
Carly Nassereh Ettefagh, MSOT, OTR/L
8270 Willow Oaks Corporate Dr,
Fairfax, VA 22031-4511

Ph: (401) 835-3265

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Occupational Therapist in Fairfax, VA

Judy D. Feingold, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Jermantown Rd Ste 250, Fairfax, VA 22030
Phone: 703-910-5006    Fax: 888-314-6706
Alice Blair,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9685 Main St Ste B, Fairfax, VA 22031
Phone: 703-978-8400    Fax: 703-978-9898
Sarah Tatlonghari,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 11240 Waples Mill Rd, Suite 202, Fairfax, VA 22030
Phone: 703-237-2219    
Samantha Hamlin,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8270 Willow Oaks Corporate Dr # 2120, Fairfax, VA 22031
Phone: 571-423-4864    
Jaclyn Rotier, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12475 Lee Jackson Memorial Hwy, Fairfax, VA 22033
Phone: 408-439-4160    
Rebecca Learned Lambright, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 11240 Waples Mill Rd, Fairfax, VA 22030
Phone: 703-237-2219    Fax: 703-237-2729

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